ATI RN COMPREHENSIVE EXIT PREDICTOR WITH NGN COMPREHENSIVE STUDY GUIDE
FEATURING THREE VERSIONS (A, B, AND C) WITH 540 HIGH-YIELD PRACTICE QUESTIONS,
DETAILED ANSWER EXPLANATIONS AND RATIONALES, NEXT GENERATION NCLEX (NGN)
CLINICAL JUDGMENT CONCEPTS, PRIORITIZATION AND DELEGATION STRATEGIES, TEST-
TAKING TIPS, AND COMPLETE NURSING EXAM SUCCESS TOOLKIT | UPDATED FOR 2026/2027
| LATEST EDITION
VERSION A
QUESTION 1 QUESTION 1
,
,A nurse is caring for a client who has been admitted to the hospital.
Select the 5 actions the nurse should take.
Laboratory Results
1200:
Hgb 9.5 g/dL (14 to 18 g/dL)
Hct 38% (42% to 52%)
Bilirubin 5.3 mg/dL (0.3 to 1.0 mg/dL)
Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL)
Platelet count 100,000/mm³ (150,000 to 400,000/mm³)
1800:
Alanine aminotransferase (ALT) 51 units/L (4 to 36 units/L)
Aspartate aminotransferase (AST) 48 units/L (0 to 35 units/L)
Alkaline phosphatase (ALP) 151 units/L (30 to 120 units/L)
Blood total protein 15 g/dL (6.4 to 8.3 g/dL)
Actions to select:
Provide frequent rest periods for the client
Restrict the client’s sodium intake
Advise the client to avoid the use of soap and alcohol-based lotions
Place the client on a low-carbohydrate diet
Place the client under contact isolation
Instruct the client to avoid blowing their nose forcefully
Assess the client’s level of orientation
A nurse is caring for a client who has abnormal laboratory results.
Select the 5 actions the nurse should take.
Laboratory Results:
Hgb 8.9 g/dL (12 to 16 g/dL)
WBC 14,500/mm³ (5,000 to 10,000/mm³)
Platelets 90,000/mm³ (150,000 to 400,000/mm³)
AST 62 units/L (10 to 40 units/L)
ALT 70 units/L (7 to 56 units/L)
Actions to select:
Encourage use of a soft-bristle toothbrush
Place the client on bleeding precautions
Encourage high-protein diet
Monitor temperature every 4 hours
Restrict all visitors
, Avoid IM injections
Encourage increased fluid intake
A nurse is reviewing laboratory results for a client.
Select the 4 actions the nurse should take.
Laboratory Results:
Sodium 128 mEq/L (135 to 145 mEq/L)
Potassium 5.9 mEq/L (3.5 to 5.0 mEq/L)
Calcium 7.2 mg/dL (8.5 to 10.5 mg/dL)
Glucose 180 mg/dL (70 to 110 mg/dL)
Creatinine 2.0 mg/dL (0.6 to 1.3 mg/dL)
Actions to select:
Place the client on cardiac monitoring
Initiate seizure precautions
Restrict potassium intake
Encourage weight-bearing exercise
Monitor for muscle twitching
Administer insulin as prescribed
Encourage high-sodium diet
A nurse is caring for a client with liver dysfunction.
Select the 5 actions the nurse should take.
Laboratory Results:
Albumin 2.4 g/dL (3.5 to 5.0 g/dL)
Ammonia 85 mcg/dL (15 to 45 mcg/dL)
Bilirubin 4.0 mg/dL (0.2 to 1.2 mg/dL)
INR 2.1 (0.8 to 1.1)
Platelets 110,000/mm³ (150,000 to 400,000/mm³)
Actions to select:
Monitor for confusion
Implement fall precautions
Restrict protein intake completely
Assess for jaundice
Avoid alcohol-based products
Encourage vigorous exercise
Monitor for bleeding
A nurse is caring for a client with possible infection and inflammation.
Select the 4 actions the nurse should take.
Laboratory Results:
WBC 18,000/mm³ (5,000 to 10,000/mm³)
FEATURING THREE VERSIONS (A, B, AND C) WITH 540 HIGH-YIELD PRACTICE QUESTIONS,
DETAILED ANSWER EXPLANATIONS AND RATIONALES, NEXT GENERATION NCLEX (NGN)
CLINICAL JUDGMENT CONCEPTS, PRIORITIZATION AND DELEGATION STRATEGIES, TEST-
TAKING TIPS, AND COMPLETE NURSING EXAM SUCCESS TOOLKIT | UPDATED FOR 2026/2027
| LATEST EDITION
VERSION A
QUESTION 1 QUESTION 1
,
,A nurse is caring for a client who has been admitted to the hospital.
Select the 5 actions the nurse should take.
Laboratory Results
1200:
Hgb 9.5 g/dL (14 to 18 g/dL)
Hct 38% (42% to 52%)
Bilirubin 5.3 mg/dL (0.3 to 1.0 mg/dL)
Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL)
Platelet count 100,000/mm³ (150,000 to 400,000/mm³)
1800:
Alanine aminotransferase (ALT) 51 units/L (4 to 36 units/L)
Aspartate aminotransferase (AST) 48 units/L (0 to 35 units/L)
Alkaline phosphatase (ALP) 151 units/L (30 to 120 units/L)
Blood total protein 15 g/dL (6.4 to 8.3 g/dL)
Actions to select:
Provide frequent rest periods for the client
Restrict the client’s sodium intake
Advise the client to avoid the use of soap and alcohol-based lotions
Place the client on a low-carbohydrate diet
Place the client under contact isolation
Instruct the client to avoid blowing their nose forcefully
Assess the client’s level of orientation
A nurse is caring for a client who has abnormal laboratory results.
Select the 5 actions the nurse should take.
Laboratory Results:
Hgb 8.9 g/dL (12 to 16 g/dL)
WBC 14,500/mm³ (5,000 to 10,000/mm³)
Platelets 90,000/mm³ (150,000 to 400,000/mm³)
AST 62 units/L (10 to 40 units/L)
ALT 70 units/L (7 to 56 units/L)
Actions to select:
Encourage use of a soft-bristle toothbrush
Place the client on bleeding precautions
Encourage high-protein diet
Monitor temperature every 4 hours
Restrict all visitors
, Avoid IM injections
Encourage increased fluid intake
A nurse is reviewing laboratory results for a client.
Select the 4 actions the nurse should take.
Laboratory Results:
Sodium 128 mEq/L (135 to 145 mEq/L)
Potassium 5.9 mEq/L (3.5 to 5.0 mEq/L)
Calcium 7.2 mg/dL (8.5 to 10.5 mg/dL)
Glucose 180 mg/dL (70 to 110 mg/dL)
Creatinine 2.0 mg/dL (0.6 to 1.3 mg/dL)
Actions to select:
Place the client on cardiac monitoring
Initiate seizure precautions
Restrict potassium intake
Encourage weight-bearing exercise
Monitor for muscle twitching
Administer insulin as prescribed
Encourage high-sodium diet
A nurse is caring for a client with liver dysfunction.
Select the 5 actions the nurse should take.
Laboratory Results:
Albumin 2.4 g/dL (3.5 to 5.0 g/dL)
Ammonia 85 mcg/dL (15 to 45 mcg/dL)
Bilirubin 4.0 mg/dL (0.2 to 1.2 mg/dL)
INR 2.1 (0.8 to 1.1)
Platelets 110,000/mm³ (150,000 to 400,000/mm³)
Actions to select:
Monitor for confusion
Implement fall precautions
Restrict protein intake completely
Assess for jaundice
Avoid alcohol-based products
Encourage vigorous exercise
Monitor for bleeding
A nurse is caring for a client with possible infection and inflammation.
Select the 4 actions the nurse should take.
Laboratory Results:
WBC 18,000/mm³ (5,000 to 10,000/mm³)
